Evidence map›Paper›PMID 21126919›Full record

ArticleJournal of pediatric urology2012

The accuracy and health risks of a voiding cystourethrogram after a febrile urinary tract infection.

John David Spencer, Carlton M Bates, John D Mahan, Mary-Lynn Niland, Shannon R Staker, David S Hains, Andrew L Schwaderer

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of pediatric urology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

John David SpencerNationwide Children's Hospital, Department of Pediatrics, Division of Nephrology, 700 Children's Drive, Columbus, OH 43205, USA. john.spencer@nationwidechildrens.org
Carlton M Bates
John D Mahan
Mary-Lynn Niland
Shannon R Staker
David S Hains
Andrew L Schwaderer
Nationwide Children's Hospital · USBoston Children's Hospital · US

Funding

A genetic model of vesicoureteral reflux and reflux nephropathyR01DK081128 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BATES, CARLTON MATTHEW · 2009 to 2012
$1.4M
NIDDK NIH HHS R01 DK081128
6 · The paper itself

Abstract

objectivePhysicians often defer obtaining a voiding cystourethrogram (VCUG) after the diagnosis of urinary tract infection (UTI) due to concerns regarding increased health risks and inflated rates of vesicoureteral reflux (VUR). This study examines the health risks and accuracy of VCUG testing after diagnosis of a febrile UTI. PATIENTS AND

methodsA retrospective review was conducted of children aged 0-18 years admitted to Nationwide Children's Hospital with a febrile UTI in 1995-2000. Children were divided into two cohorts - those who had a VCUG performed within 1 week of diagnosis (early VCUG cohort) and those who had a VCUG performed more than 1 week after diagnosis (late VCUG cohort). All children were followed for an additional 5 years after hospital discharge.

resultsThe incidence and severity of VUR were similar in patients that underwent early and late VCUG testing. Patients who underwent early VCUG testing showed no sign of worsening illness after the test was performed. During the 5-year follow up, these patients did not have higher rates of return emergency department visits or hospital readmission compared to those who received late VCUG testing.

conclusionsThe rate of VUR detection does not increase with early VCUG testing. Early VCUG testing does not lead to increased risk of bacterial dissemination or urosepsis.

Indexed as

AdolescentAge DistributionCausalityChildChild, PreschoolCohort StudiesFemaleFeverFollow-Up StudiesHealth Status IndicatorsHumansIncidenceInfantMalePatient SafetyRetrospective Studies

Identifiers

PMID21126919
PMCPMC3987123
OpenAlexW2122306674

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.